NPIMap

Organization Active NPI

Southwest Behavioral Health Services,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bullhead City, AZ
National Provider Identifier
1093942161
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
BH-3364 Issued in AZ
Legal business name
SOUTHWEST BEHAVIORAL HEALTH SERVICES,INC.
Practice address
2580 Highway 95 Ste 119-125
Bullhead City, AZ 86442-7491
Phone
(928) 763-7776
NPI assigned
Jun 16, 2009
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Sheets
Title
President/Ceo
Phone
(602) 351-6986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X BH-3364 AZ Primary

Addresses

Primary practice location

2580 Highway 95 Ste 119-125
Bullhead City, AZ 86442-7491

Mailing address

3450 N 3Rd St
Phoenix, AZ 85012-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000948 AZ Part B Supplier - Clinic/Group Practice 9739075854 Receives reassigned benefits from 136 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Phoenix, AZ; Mesa, AZ; Prescott Valley, AZ; Payson, AZ; Lake Havasu City, AZ; Kingman, AZ; Flagstaff, AZ; Bullhead City, AZ…

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Southwest Behavioral Health Services42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

2580 Highway 95
Ste 119
Bullhead City, AZ 86442
Phone (928) 763-7776

2580 Highway 95
Ste 120
Bullhead City, AZ 86442
Phone (928) 763-7776

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1093942161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 HIGHWAY 95 STE 119-125",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427491",
            "telephone_number": "928-763-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BEHAVIORAL HEALTH SERVICES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-351-6986"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "BH-3364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.